Jackson, Susan Elizabeth

Jackson, Susan Elizabeth is an individual health care provider with primary practice located at 1365 Beverly Rd 2Nd Floor, Mc Lean VA 22101-3624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Susan Elizabeth can be contacted via phone (703) 790-5850.

Contact Information

Primary practice address
1365 Beverly Rd 2Nd Floor Mc Lean VA 22101-3624
Phone: (703) 790-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172843 Virginia

Profile Details

NPI number 1962877431
LBN Legal business name Jackson, Susan Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2015
Last updated Mar 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers